Individual provider Active NPI

Jaime Ellis Gaudet, NP

  • Family Nurse Practitioner
  • Houma, LA
National Provider Identifier
1962779470
Registry record updated May 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP07076 Issued in LA
Practice address
1001 School St
Houma, LA 70360-4629
Phone
(985) 868-1540
Fax
(985) 876-0759
NPI assigned
Nov 28, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First Assistant 163WR0006X CEP11471 CA
Family Nurse Practitioner 363LF0000X AP07076 LA Primary

Addresses

Primary practice location

1001 School St
Houma, LA 70360-4629

Mailing address

1001 School St
Houma, LA 70360-4629
Phone (985) 868-1540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121023000666 LA Practitioner - Nurse Practitioner 1153571492 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Houma Orthopedic Clinic AMCGroup PAC ID 4183683923, 21 clinicians

Practice addresses (Care Compare)

1001 School St
Houma, LA 70360-4629
Phone (985) 868-1540

Hospital & facility affiliations

  • Terrebonne General Medical Center - Parish Hospital, Houma, LA, CCN 190008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
CEP11471CAMDRegistered Nurse First Assistant

Interoperability endpoints

  • Direct secure messaging: jgaudet323618@direct.ochsner.org
  • Direct secure messaging: jgaudet@gco.directbygreenway.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1322438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400544000000",
    "number": "1962779470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 SCHOOL ST",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703604629",
            "telephone_number": "985-868-1540",
            "fax_number": "985-876-0759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 SCHOOL ST",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703604629",
            "telephone_number": "985-868-1540",
            "fax_number": "985-876-0759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUDET",
        "first_name": "JAIME",
        "middle_name": "ELLIS",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-28",
        "last_updated": "2014-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "CA",
            "license": "CEP11471",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP07076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houma, LA

Sources for this page

Verify at the official NPI Registry.